|
Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution
|
$82,214.33 |
$82,214.33 |
$82,214.33 |
$295.83
|
|
Nm imaging bone/joint 3 phase study
|
$1,470.30 |
$1,470.30 |
$1,470.30 |
$1,572.00
|
|
Nm imaging bone/joint whole body
|
$6,142.50 |
$6,142.50 |
$6,142.50 |
$1,538.86
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$1,524.25 |
$1,524.25 |
$1,524.25 |
$1,347.83
|
|
Nm imaging gastric emptying study
|
$1,173.25 |
$1,173.25 |
$1,173.25 |
$1,331.43
|
|
Nm imaging gastrointestinal acute blood loss
|
$973.70 |
$973.70 |
$973.70 |
$1,125.00
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,443.00 |
$1,443.00 |
$1,443.00 |
$1,586.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,927.25 |
$1,927.25 |
$1,927.25 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,399.45 |
$1,399.45 |
$1,399.45 |
$1,566.00
|
|
Npm1 gene
|
$582.40 |
$582.40 |
$582.40 |
$493.60
|
|
Nras gene variants exon 2&3
|
$477.10 |
$477.10 |
$477.10 |
$590.26
|
|
Nuclear Stress Test (Heart)
|
$4,869.80 |
$4,869.80 |
$4,869.80 |
$3,739.20
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$24,700.84 |
$24,700.84 |
$24,700.84 |
$142.75
|
|
Observation/inpatient hospital care hi severity 99236
|
$666.25 |
$666.25 |
$666.25 |
$438.60
|
|
Observation per hour
|
$72.15 |
$72.15 |
$72.15 |
$75.15
|
|
Ocrelizumab 30 mg/ml intravenous solution
|
$56,746.59 |
$56,746.59 |
$56,746.59 |
$35,293.52
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$64.60 |
$64.60 |
$64.60 |
$59.15
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$18,069.67 |
$18,069.67 |
$18,069.67 |
$8,720.95
|
|
Olanzapine 10 mg intramuscular solution
|
$128.34 |
$128.34 |
$128.34 |
$120.17
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$4,067.13 |
$4,067.13 |
$4,067.13 |
$65.90
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$7.15 |
$7.15 |
$7.15 |
$12.51
|
|
Organic acids total quant ea spec
|
$338.65 |
$338.65 |
$338.65 |
$152.50
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$39.00 |
$39.00 |
$39.00 |
$40.92
|
|
Oscillation chest wall mechanical per session
|
$143.65 |
$143.65 |
$143.65 |
$204.89
|
|
Osmolality blood
|
$69.55 |
$69.55 |
$69.55 |
$57.00
|
|
Osmolality urine
|
$68.25 |
$68.25 |
$68.25 |
$57.85
|
|
Ot evaluation high complexity patient/family
|
$782.60 |
$782.60 |
$782.60 |
$265.50
|
|
Ot evaluation low complexity patient/family
|
$728.00 |
$728.00 |
$728.00 |
$222.50
|
|
Ot evaluation moderate complexity patient/family
|
$752.05 |
$752.05 |
$752.05 |
$249.60
|
|
Other immunoelectrophoresis
|
$150.80 |
$150.80 |
$150.80 |
$92.70
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$87.10 |
$87.10 |
$87.10 |
$94.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$76.70 |
$76.70 |
$76.70 |
$102.60
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$89.05 |
$89.05 |
$89.05 |
$105.50
|
|
Ot re-evaluation patient/family
|
$614.25 |
$614.25 |
$614.25 |
$146.90
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$89.05 |
$89.05 |
$89.05 |
$96.11
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$24.05 |
$24.05 |
$24.05 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$90.35 |
$90.35 |
$90.35 |
$90.00
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$100.75 |
$100.75 |
$100.75 |
$95.65
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$86.45 |
$86.45 |
$86.45 |
$94.25
|
|
Ot training self care/home management direct contact each 15 minutes
|
$90.35 |
$90.35 |
$90.35 |
$93.60
|
|
Oxaliplatin 5 mg/ml desensitization
|
$163.93 |
$163.93 |
$163.93 |
$17.82
|
|
Oxytocin 10 unit/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$30.78
|
|
Paclitaxel 6 mg/ml concentrate,intravenous
|
$35.75 |
$35.75 |
$35.75 |
$135.25
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$4,187.95 |
$4,187.95 |
$4,187.95 |
$28.29
|
|
Paliperidone 117 mg/0.75 ml inj
|
$8,908.60 |
$8,908.60 |
$8,908.60 |
$4,898.66
|
|
Palonosetron hcl
|
$162.50 |
$162.50 |
$162.50 |
$372.41
|
|
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution
|
$121.81 |
$121.81 |
$121.81 |
$129.80
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$19,889.31 |
$19,889.31 |
$19,889.31 |
$187.16
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$16.50 |
$16.50 |
$16.50 |
$18.49
|
|
Parathormone (pth) intact
|
$268.45 |
$268.45 |
$268.45 |
$204.00
|
|
Parathyroid planar imaging
|
$910.00 |
$910.00 |
$910.00 |
$1,041.95
|
|
Parathyroid planar img w/tomo spect
|
$1,445.60 |
$1,445.60 |
$1,445.60 |
$1,317.94
|
|
Part hymenectomy/revi hymenal ring 56700
|
$4,517.04 |
$4,517.04 |
$4,517.04 |
$3,162.10
|
|
Pdgfra gene
|
$504.40 |
$504.40 |
$504.40 |
$717.23
|
|
Pdt dstr prmlg les phys/qhp
|
$199.55 |
$199.55 |
$199.55 |
$290.99
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$15,643.86 |
$15,643.86 |
$15,643.86 |
$9,121.58
|
|
Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe
|
$9,567.19 |
$9,567.19 |
$9,567.19 |
$5,688.56
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$10,176.56 |
$10,176.56 |
$10,176.56 |
$8,141.25
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$5,088.28 |
$5,088.28 |
$5,088.28 |
$5,961.60
|
|
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe
|
$6,093.76 |
$6,093.76 |
$6,093.76 |
$4,891.26
|
|
Pelvic CT scan (with and without contrast)
|
$2,050.75 |
$2,050.75 |
$2,050.75 |
$1,872.00
|
|
Pelvic CT scan (with contrast)
|
$1,977.95 |
$1,977.95 |
$1,977.95 |
$1,602.75
|
|
Pelvic CT scan (without contrast)
|
$1,492.40 |
$1,492.40 |
$1,492.40 |
$1,290.90
|
|
Pelvic MRI (with and without contrast)
|
$2,850.25 |
$2,850.25 |
$2,850.25 |
$2,603.25
|
|
Pelvic MRI (with contrast)
|
$2,051.40 |
$2,051.40 |
$2,051.40 |
$1,854.06
|
|
Pelvic MRI (without contrast)
|
$2,146.30 |
$2,146.30 |
$2,146.30 |
$1,702.00
|
|
Pelvic Ultrasound (complete)
|
$619.45 |
$619.45 |
$619.45 |
$614.64
|
|
Pelvic Ultrasound (limited)
|
$471.90 |
$471.90 |
$471.90 |
$429.66
|
|
Pembrolizumab 25 mg/ml intravenous solution
|
$16,040.52 |
$16,040.52 |
$16,040.52 |
$86.90
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$2,703.48 |
$2,703.48 |
$2,703.48 |
$48.74
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$13.67 |
$13.67 |
$13.67 |
$53.75
|
|
Penile injection
|
$199.55 |
$199.55 |
$199.55 |
$403.80
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$1,218.76 |
$1,218.76 |
$1,218.76 |
$269.36
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$583.70 |
$583.70 |
$583.70 |
$636.09
|
|
Pertuzumab 30 mg/ml desensitization
|
$18,007.29 |
$18,007.29 |
$18,007.29 |
$15,007.91
|
|
Ph body fluid
|
$48.10 |
$48.10 |
$48.10 |
$35.75
|
|
Phencyclidine (pcp)
|
$83.85 |
$83.85 |
$83.85 |
$74.40
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$35.94 |
$35.94 |
$35.94 |
$84.60
|
|
Phenobarbital therapeutic drug level
|
$117.65 |
$117.65 |
$117.65 |
$97.50
|
|
Phenylephrine 10 mg/ml injection solution
|
$7.15 |
$7.15 |
$7.15 |
$28.92
|
|
Phenytoin total therapeutic drug level
|
$135.20 |
$135.20 |
$135.20 |
$100.75
|
|
Phlebotomy therapeutic
|
$206.70 |
$206.70 |
$206.70 |
$240.24
|
|
Phosphorus
|
$66.30 |
$66.30 |
$66.30 |
$42.37
|
|
Phosphorus 24 hour urine
|
$52.65 |
$52.65 |
$52.65 |
$41.51
|
|
Phys blood bank serv reactj
|
$154.70 |
$154.70 |
$154.70 |
$219.94
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$41.70 |
$41.70 |
$41.70 |
$75.04
|
|
Pinworm exam
|
$45.50 |
$45.50 |
$45.50 |
$38.58
|
|
Piperacillin-tazobactam 3.375 gram intravenous solution
|
$39.84 |
$39.84 |
$39.84 |
$51.80
|
|
Plasma cryoprecipitate reduced each unit
|
$174.85 |
$174.85 |
$174.85 |
$160.55
|
|
Platelet aggregation each agent teg
|
$161.20 |
$161.20 |
$161.20 |
$145.60
|
|
Platelet automated
|
$55.25 |
$55.25 |
$55.25 |
$33.60
|
|
Platelet pheresis each unit
|
$875.55 |
$875.55 |
$875.55 |
$943.15
|
|
Platelet pheresis irr ea
|
$976.30 |
$976.30 |
$976.30 |
$991.80
|
|
Platelets each unit
|
$251.55 |
$251.55 |
$251.55 |
$187.20
|
|
Platelets hla matched leukocytes reduced apheresis/pheresis each unit
|
$1,511.25 |
$1,511.25 |
$1,511.25 |
$1,532.70
|
|
Platelets leukocytes reduced each unit
|
$277.55 |
$277.55 |
$277.55 |
$274.95
|
|
Platelets leukoreduced cmv negative apheresis/phresis each unit
|
$1,010.10 |
$1,010.10 |
$1,010.10 |
$1,146.60
|
|
Platelets pheresis leukocytes reduced cmv negative irradiated each unit
|
$1,303.90 |
$1,303.90 |
$1,303.90 |
$1,424.80
|
|
Platelets pheresis leukocytes reduced each unit
|
$1,091.35 |
$1,091.35 |
$1,091.35 |
$1,642.50
|
|
Platelets pheresis leukocytes reduced irradiated each unit
|
$1,212.90 |
$1,212.90 |
$1,212.90 |
$1,530.10
|